Recep Dursun, Munise Daye, Selami Aykut Temiz, İlkay Özer, Arzu Ataseven, Yasemin Durduran, Şükrü Balev

Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study

Objective: There are a few studies in the literature about dermatology consultations requested from Pediatrics Department. In the present study,it was aimed to assess the clinical features, pre-diagnosis and dermatologie diagnosis of patients consulted to the Dermatology Department fromPediatrics Department, and also to detect possible different approaches between the clinics.Methods: The list of dermatology consultations requested from Pediatrics Department between 1 September 2016 and 1 September 2017 wereretrospectively evaluated by means of pre-diagnosis, dermatological diagnosis and unit consultations.Results: The mean age of patients was 7.4±5.3 years. Of the 628 patients, 52.1% were males, and 85% of the consultations were requested fromoutpatient clinics and 15% were from the inpatient clinics. Among all consultations 28.7% general pediatrics unit and 17.5% pediatric emergencyunit required consultations. The most common diagnosis reported from Dermatology Department were eczema (28.2%), viral diseases (13.2%),parasitic diseases (8.4%) and fungal diseases (5.4%). Although, the ratio of an accurate pre-diagnosis was significantly higher in consultationsrequested from the inpatient clinics than those from outpatient clinics(p

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[1] Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Pattern of pediatric dermatosis at a referral centre. Indian J Pediatr 2014;81(4):375-380.
[2] Thappa DM. Common skin problems in children. Indian J Pediatr 2002;69(8):701-706.
[3] Fofana Y, Traore B, Dicko A, Faye O, Berthe S, Cisse L, Keita A, Tall K, Kone MB, Keita S. Epidemio-clinical profile of dermatoses in children receiving dermatological consultation in the Department of Dermatology at the National Center for Disease Control in Bamako. Pan Afr Med J 2016;2:238-238.
4] Srinivas SM, Hiremagalore R, Venkataramaiah LD, Premalatha R. Pediatric dermatology inpatient consultations: a retrospective study. Indian J Pediatr 2015;82(6):541-544.
5] McMahon P, Goddard D, Frieden IJ. Pediatric dermatology inpatient consultations: a retrospective study of 427 cases. J Am Acad Dermatol 2013;68(6):926-931.
6] Bauer J, Maroon M. Dermatology inpatient consultations: a retrospective study. J Am Acad Dermatol 2010;62(3):518-519.
7] Adi§en E, Ünal S, Gürer MA. Dermatology Consultations. Turkderm-Archieves of The Turkish Dermatology and Venerology 2006;40(4):126-129.
8] Gupta S, Sandhu K, Kumar B. Evaluation of emergency dermatological consultations in a tertiary care centre in North India. J Eur Acad Dermatol Venereol 2003;17(3):303-305.
9] Falanga V, Schachner LA, Rae V, Ceballos PI, Gonzalez A, Liang G, Banks R. Dermatologic consultations in the hospital setting. Arch Dermatol 1994;130(8):1022-1025.
10] Penate Y, Guillermo N, Melwani P, Martel R, Borrego L. Dermatologists in hospital wards: an 8-year study of dermatology consultations. Dermatology 2009;219(3):225- 231.
11] Afsar FS. Analysis of pediatric dermatology inpatient consultations in a pediatric teaching hospital. Arch Argent Pediatr 2017;115(6):377-384.
12] Storan ER, McEvoy MT, Wetter DA, el-Azhary RA, Hand JL, Davis DM, Bridges AG, Camilleri MJ, Davis MD. Pediatric hospital dermatology: experience with inpatient and consult services at the Mayo Clinic. Pediatr Dermatol 2013;30(4):433-437.
13] Moon AT, Castelo-Soccio L, Yan AC. Emergency department utilization of pediatric dermatology (PD) consultations. J Am Acad Dermatol 2016;74(6):1173-1177.
14] Auvin S, Imiela A, Catteau B, Hue V, Martinot A. Pediatric skin disorders encountered in an emergency hospital facility: a prospective study. Acta Derm Venereol 2004;84(6):451-454.
15] Yerebakan Ö, Altunay i, Köslü A. Evaluation of the consultations requested from the dermatology clinic. The Medical Bulletin of Sisli Etfal Hospital 1995;29:47-50.
16] Hon KL, Leung TF, Wong Y, Ma KC, Fok TF. Skin diseases in Chinese children at a pediatric dermatology center. Pediatr Dermatol 2004;21(2):109-112.
17] Köse O. Emergency in pediatric dermatology. Turkiye Klinikleri J Surg Med Sci 2006;2(3):60-64.
18] Sarkar R, Basu S, Patwari AK, Sharma RC, Dutta AK, Sardana K. An appraisal of pediatric dermatological emergencies. Indian Pediatrics 2000;37(4):425-430.
19] Srinivas SM, Hiremagalore R, Venkataramaiah LD, Premalatha R. Pediatric Dermatology Inpatient Consultations: A Retrospective Study. Indian J Pediatr 2015;82(6):541-544.
20] Chen TS, Goldyne ME, Mathes EF, Frieden IJ, Gilliam AE. Pediatric teledermatology: observations based on 429 consults. J Am Acad Dermatol 2010;62(1):61-66.